国际眼科杂志2025,Vol.25Issue(1) :59-63.DOI:10.3980/j.issn.1672-5123.2025.1.11

结膜淋巴管扩张症的研究现状

Research status of conjunctival lymphangiectasia

王福利 苏渲迪 王玉瑾 冉洁 夏多胜
国际眼科杂志2025,Vol.25Issue(1) :59-63.DOI:10.3980/j.issn.1672-5123.2025.1.11

结膜淋巴管扩张症的研究现状

Research status of conjunctival lymphangiectasia

王福利 1苏渲迪 1王玉瑾 1冉洁 2夏多胜1
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作者信息

  • 1. (730050)中国甘肃省兰州市第一人民医院甘肃中医药大学第二临床医学院
  • 2. (730000)中国甘肃省兰州市,甘肃中医药大学
  • 折叠

摘要

结膜淋巴管扩张症是一种发病率较低的眼表疾病,目前相关文献报道较少,可能与眼睑美容手术、肿瘤及其放化疗等因素有关,常常引发异物感、流泪、眼痛、视物疲劳等不适,这些眼部持续刺激症状会影响患者生活质量.目前,眼前节相干光断层扫描可用于临床诊断,新型单克隆抗体D2-40作为扩张淋巴管内皮细胞标记物在病理诊断中具有很强的特异性.既往的研究未完全明确其发病机制,治疗方法各异,传统的治疗给患者带来了不同程度的结膜损伤,近年来有报道提出,抗VEGF药物对该病的治疗有效且并发症小.文章对这一少见疾病的发病机制、诊断、治疗等一些基本情况做一综述,以期对结膜淋巴管扩张症有更加清晰的认识,为临床诊治提供更多支持.

Abstract

·Conjunctival lymphangiectasia is a low-incidence ocular surface disease that is currently rarely reported in the relevant literature.It may be related to cosmetic eyelid surgery,tumor,radiation or chemotherapy and other factors and often causes a foreign body sensation,lacrimation,eye pain,visual fatigue and other discomfort.These symptoms of constant eye irritation affect the patient's quality of life.At present,anterior segment optical coherence tomography can be used for clinical diagnosis,and the novel monoclonal antibody D2-40,as a marker of lymphatic endothelial cell dilatation,has high specificity in pathological diagnosis.Previous studies have not fully defined the pathogenesis of the disease,and treatment methods vary.Conventional treatment has resulted in varying degrees of damage to the conjunctiva in patients.In recent years,anti-vascular endothelial growth factor drugs have been reported to be effective in treating the disease with few complications.This article reviews the pathogenesis,diagnosis and treatment of this rare disease in order to gain a better understanding of conjunctival lymphangiectasia and provide more support for clinical diagnosis and treatment.

关键词

结膜淋巴管扩张症/眼前节相干光断层扫描/D2-40

Key words

conjunctival lymphangiectasia/anterior segment optical coherence tomography/D2-40

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出版年

2025
国际眼科杂志
中华医学会西安分会

国际眼科杂志

CSTPCD
影响因子:0.988
ISSN:1672-5123
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